46/100
Below average
500 South Broad Street, Middletown, DE 19709
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
Special Focus Facility
CMS has placed this home in its Special Focus Facility program for a persistent pattern of poor care. These homes get inspected twice as often.
5 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$79,126 in federal fines
CMS has fined this facility across 2 penalty action(s).
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: January 30, 2026 (6 months ago).
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Immediate jeopardy to resident health or safety
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
No actual harm, potential for more than minimal harm
Administration Deficiencies
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
No actual harm, potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
No actual harm, potential for more than minimal harm
Part of CADIA HEALTHCARE, which operates 5 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| HYLTON, ALFRED | Individual | CONTRACTED MANAGING EMPLOYEE | — |
| LITWA, KAREN | Individual | CONTRACTED MANAGING EMPLOYEE | — |
| SCHAFER, RON | Individual | CONTRACTED MANAGING EMPLOYEE | — |
| SILVER, STEPHEN | Individual | CONTRACTED MANAGING EMPLOYEE | — |
| LITWA, KAREN | Individual | CORPORATE OFFICER | — |
| LONG TERM CARE CORP | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| DITTMAR, LAURA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| HYLTON, ALFRED | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| PRICE, ELIZABETH | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| SCHAFER, RON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| SILVER, STEPHEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| LONG TERM CARE CORP | Organization | ADP OF THE SNF | — |
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Cadia Rehabilitation Broadmeadow holds an ElderGrade of D (46 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.88 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 5 of the 41 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Cadia Rehabilitation Broadmeadow is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.